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Showing results for "culture".
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9601. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - they would believe to be incorrect written guidance on the bottle (since it conflicts with their prior beliefs … The whole culture of aviation encourages admitting your mistakes, so everybody benefits from it. … One, it goes against the culture, but second, there are very strong legal issues. … of the problem is not only is it a complex social, equipment, and personnel issue, but the standard belief

9602. Barriers to nurses' reporting of medication administration errors in Taiwan. | PSNet
      psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
      May 01, 2006 - Study Barriers to nurses' reporting of medication administration errors in Taiwan. Citation Text: Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x. Copy…

9603. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. | PSNet
      psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2010
      November 23, 2016 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Oakbrook Terrace, IL: The Joint Commission; September 2010. …

9604. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet
      psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
      September 13, 2016 - Book/Report Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. Citation Text: Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …

9605. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. | PSNet
      psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2009
      September 21, 2011 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Oakbrook Terrace, IL: The Joint Commission; January 2010. Cop…

9606. Unreported errors in the intensive care unit: a case study of the way we work. | PSNet
      psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
      December 12, 2012 - Commentary Unreported errors in the intensive care unit: a case study of the way we work. Citation Text: Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35. Copy Citation Format: Google Sc…

9607. Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation. | PSNet
      psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
      October 19, 2022 - Study Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation. Citation Text: Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation…

9608. Hospital Reporting Program: Annual Summary. | PSNet
      psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
      August 17, 2022 - Book/Report Hospital Reporting Program: Annual Summary. Citation Text: Hospital Reporting Program: Annual Summary. Portland, OR: Oregon Patient Safety Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook …

9609. The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. | PSNet
      psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
      June 28, 2023 - Newspaper/Magazine Article The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Citation Text: The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Blau M. STAT. April 20, 2018…

9610. The hazards of diagnosis. | PSNet
      psnet.ahrq.gov/issue/hazards-diagnosis
      April 06, 2022 - Commentary The hazards of diagnosis. Citation Text: Schattner A, Magazanik N, Haran M. The hazards of diagnosis. QJM. 2010;103(8):583-7. doi:10.1093/qjmed/hcq080. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

9611. Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet
      psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
      September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…

9612. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. | PSNet
      psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
      March 15, 2017 - Study Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Citation Text: Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytoj…

9613. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. | PSNet
      psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
      March 07, 2012 - Review The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Citation Text: Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi…

9614. Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. | PSNet
      psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
      July 12, 2006 - Government Resource Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Citation Text: Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Washington DC; Governme…

9615. Patient safety: lessons learned. | PSNet
      psnet.ahrq.gov/issue/patient-safety-lessons-learned
      October 18, 2017 - Commentary Patient safety: lessons learned. Citation Text: Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…

9616. Human factors of complex sociotechnical systems. | PSNet
      psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
      June 09, 2021 - Commentary Human factors of complex sociotechnical systems. Citation Text: Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

9617. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - July 19, 2023 Rooting an error review process in just culture: lessons learned. … WebM&M Cases Delayed Recognition of a Positive Blood Culture

9618. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33770/psn-pdf
      August 01, 2014 - We talked about safety culture. Then we interviewed him again about a year ago. … And he said he wasn't focusing much on safety culture https://psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma

9619. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49402/psn-pdf
      June 01, 2003 - At that time, a single blood culture grew vancomycin-resistant Enterococcus faecium (VRE), as did a … A repeat blood culture grew VRE, which necessitated removal and re-placement of yet another central … are clinically stable without any clear focus of infection usually are not harmed by waiting until culture … This is also true if a patient was pre-treated with antibiotics, which may render the culture results … If a bacterial infection is identified, the culture and susceptibility data should be used to narrow

9620. Patient, physician, medical assistant, and office visit factors associated with medication list agreement. | PSNet
      psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
      June 28, 2017 - February 17, 2017 Differing perceptions of safety culture across job roles in the ambulatory … setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. … January 8, 2018 What patients think doctors know: beliefs about provider knowledge as